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Table 2 Predictors of response

From: Outcome of adalimumab monotherapy in paediatric non-infectious uveitis

 

Failed adalimumab monotherapy (N = 5)

Maintained adalimumab monotherapy (N = 23)

p value

Gender, Female, n (%)

3 (60.0)

12 (52.2)

1.00

Ethnicity

 White British, n (%)

3 (60.0)

21 (91.3)

0.14

 Others, n (%)

2 (40.0)

2 (8.7)

 

Anatomical distribution of uveitis type, n (%)

 Anterior

3 (60.0)*

21 (91.3)

 < 0.05

 Intermediate

3 (40.0)*

2 (8.7)

 

Uveitis presentation, n (%)

 Symptomatic

0 (0)

3 (13.0)

1.00

 Asymptomatic

5 (100)

20 (87.0)

 

Uveitis laterality, n (%)

 Unilateral

2 (40.0)

5 (21.7)

0.57

 Bilateral

3 (60.0)

18 (78.2)

 

Underlying diagnosis, n (%)

 JIA

2 (40.0)

13 (56.5)

0.64

 Idiopathic

3 (60.0)

10 (43.5)

 

 ANA positive JIA patients (n/N)

2/2

5/5

1.00

 Age at diagnosis of uveitis (years), median (IQR)

5.0 (7.0)

6.0 (6.0)

0.89

 Uveitis duration before adalimumab monotherapy (months), median (IQR)

50.0 (38.0)

48.0 (34.5)

0.68

 Total duration of adalimumab (including monotherapy period, months) median (IQR)

39.0 (34.0)

33.0 (41.0)

0.71

 Duration of adalimumab before monotherapy, months, median (IQR)

30 (30)

17 (28)

0.10

 Duration of adalimumab monotherapy, months, median (IQR)

9 (3.5)

20 (19)

 < 0.05

Type of Immunosuppressive drug prior to adalimumab monotherapy, n (%)

 MTX

5 (100)

16 (70.0)

0.29

 MMF

0 (0)

0 (0)

1.00

 MTX plus MMF

0 (0)

6 (26.1)

0.55

 Systemic steroid

0 (0)

0 (0)

1.00

 Etanercept

0 (0)

1 (4.3)

1.00

Baseline AC cells (number of patients/ number of eyes)

 0

5/10

32/46

0.28#

 0.5 + 

5/10

9/46

 

 1 + 

0/10

4/46

 

 2 + 

0/10

0/46

 

 3 + 

0/10

1/46

 

 4 + 

0/10

0/46

 

Baseline Intraocular pressure, n (%)

 Normal

9 (90.0)

46 (100)

0.18

  > 21 mmHg

1 (10.0)

0 (0)

 

Baseline Number of glucocorticoid drops per eye per day, n (%)

  ≤ 3

10 (100)

40 (87.0)

0.58

  > 3

0 (0)

6 (13.0)

 

Baseline Visual Impairment (number of eyes)

  ≤ 0.3 logMAR

10/10

46/46

1.00

  > 0.3 logMAR

0/10

0/46

 

 Baseline Ocular complication/surgeries (number of patients)

4/5

8/23

1.00

 Cataract

2/5

4/23

0.29

 Band keratopathy

1/5

0/23

0.18

 Retinal detachment

0/5

1/23

1.00

 Glaucoma

1/5

1/23

1.00

 Posterior synechiae

0/5

2/23

1.00

 Ocular procedure/surgery

1/5

3/23

1.00

  1. *One child had anterior and intermediate uveitis
  2. #P value represents patients with flare (defined as > / = 0.5 + AC cells) versus no flare (0 AC cells) at baseline in the two groups